| NPI | 1083592380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISATOU SANYANG Administrator 910-312-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-08-25 |
| Last Update Date | 2025-08-25 |