| NPI | 1942170469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUNA RENEA FLEMING Owner 843-536-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 253J00000X Foster Care Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 177F00000X Lodging | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |