| NPI | 1093362063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAYA BALLAH Owner 336-778-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |