| NPI | 1730627803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVON WIGFALL Director 843-934-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: SC LIC-3-16-152998) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |