| NPI | 1083837140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE A GRAY Agency Administrator 704-332-6134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 3418255) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |