| NPI | 1023851730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MICHELLE WILBURN Administrator 980-273-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2026-03-31 |