| NPI | 1780577262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEARA SHAQUER MARTIN Director 843-568-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-06-02 |