| NPI | 1902554678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIKI PATEL Administrator 803-830-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2022-03-12 |