| NPI | 1013544782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATINA WILLIAMS Secretary 336-303-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |