| NPI | 1871750018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL KENYATTA TENNIE Administrator 843-669-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2023-08-25 |