| NPI | 1003042128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE KAREN KELLY Owner 910-488-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2015-09-24 |