| NPI | 1033927801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AONDOSOO VITALIS VANDEFAN Authorized Official 919-207-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2025-09-25 |