| NPI | 1053859488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LEE FRIDAY Agency Director 704-249-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HC4840) |
| 385H00000X Respite Care (Licence: NC HC4840) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-02-11 |