| NPI | 1730014176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS MANIGAULT Owner 843-530-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 247200000X Technician, Other | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| 302R00000X Health Maintenance Organization | |
| 172V00000X Community Health Worker | |
| 374K00000X Religious Nonmedical Practitioner | |
| 405300000X Prevention Professional | |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-17 |