| NPI | 1043978331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HAIRSTON Administrator 336-726-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251C00000X | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2022-02-23 |