| NPI | 1811873151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDELHAKIM ATALI Owner 803-477-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |