| NPI | 1053012567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA R GRANT Administrator 910-339-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-09-25 |