| NPI | 1033392139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA SHAUNTA BLAKENEY Owner 704-756-7248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 332U00000X Home Delivered Meals | |
| 347B00000X Bus | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |