| NPI | 1811655897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA R MACK Administrator 803-361-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2023-12-06 |