| NPI | 1043683188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHATI N SIMTAJI Director 336-934-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NC HC1587) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC HC1587) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |