| NPI | 1942949458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA BUCKENER-STUBBS Licensed Practical Nurse 803-729-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |