| NPI | 1851736219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NHAJIYAH SIMMONS RN/ Owner 803-394-0279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 2013-34640-33770) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-05-22 |