| NPI | 1013660612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS M CLEMONTS Owner/Agency Director 336-202-9693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 291U00000X Clinical Medical Laboratory | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-02-17 |