NPI | 1942705645 |
---|---|
Entity Type | Organization |
Authorized Contact | VONDA KAY WILLIAMSON Owner 864-534-1804 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
163W00000X Registered Nurse | |
207QG0300X Family Medicine Geriatric Medicine | |
253Z00000X In Home Supportive Care | |
363LG0600X Nurse Practitioner Gerontology | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2020-04-28 |