| NPI | 1053138644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONYE WHITE Owner 336-370-7604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |