| NPI | 1952717787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA GLINCMAN Owner 843-972-8036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC 102153369) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: SC 102153369) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |