| NPI | 1811422918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANAUWIA RENEE RIVERS Owner 843-940-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC 125602) |
| Additional Taxonomies | 251E00000X Home Health (Licence: SC 125602) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |