| NPI | 1760138002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN T BROWN Owner 803-807-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-03-07 |