| NPI | 1073050621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAHNIAH M MCINNIS Administrator 336-602-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4870) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |