| NPI | 1083470165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN SAMS CEO 336-552-9514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |