| NPI | 1073264826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CABELL GRAGG Member 336-337-8964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 251E00000X Home Health | |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |