| NPI | 1902099161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE SQUIREWELL Partner 803-708-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-11-27 |