| NPI | 1780276162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNECIA FITZPATRICK Owner 803-849-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |