| NPI | 1720520802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHERRIE JOHNSON Administration 864-634-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |