| NPI | 1932433562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELASIA NATASHA JENKINS Owner 803-413-9259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 2009-38961-38101) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |