| NPI | 1851563670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ELAINE LASSAI Administrator 843-846-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child (Licence: SC ADC-116) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |