| NPI | 1871161042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVON STANTON Owner/Member 843-535-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-06-15 |