| NPI | 1053880021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY LOCKLEAR Director 910-521-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2020-10-12 |