| NPI | 1053166694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DICKERSON Owner 252-315-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-08-06 |