| NPI | 1811556848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY JOHNSON Owner 803-226-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |