| NPI | 1972141422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MUHAMMAD Owner/Admin 803-600-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |