| NPI | 1093114670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FASHENDA LASHAY LITTLE-GERALD Operations Manager 704-577-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2021-03-09 |