| NPI | 1942877311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CICELY SIOBON SULLIVAN Administrator/Owner 864-243-8235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2022-06-10 |