| NPI | 1730642497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN BROWN Administrator 843-350-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-10-21 |