| NPI | 1871933267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA MICHELLE GLOVER Owner 803-968-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SC 3446) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: SC 3446) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |