| NPI | 1043530256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRECIOUSE ADULA WILSON Member/Organizer 704-296-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4103) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-25 |