| NPI | 1972123404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYATTA OLANDO TUCKER Owner 864-631-6085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-01-14 |