| NPI | 1053652743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE NASHELLE TOLBERT Owner 910-249-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC hc4154) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-04-05 |