| NPI | 1972901494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE VANESSA RIDER Owner 843-465-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC 251E00000X) |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |