NPI | 1811284912 |
---|---|
Doing Business As | FOREST FAMILY CARE |
Entity Type | Organization |
Authorized Contact | JESSICA GRACE SMITH CHASSE Owner/CEO 843-903-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC F2018) |
Enumeration Date | 2011-07-09 |
Last Update Date | 2022-03-22 |