| NPI | 1033651070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HAIRSTON Executive Administrator 336-671-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |