| NPI | 1043662992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKENDRA JANAE GASKINS Owner 252-558-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC 452490) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC 452490) |
| 251S00000X Community/Behavioral Health (Licence: NC 452490) | |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2016-07-04 |