| NPI | 1093562563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRA S MARSH CEO 704-303-7413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372500000X Chore Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-05-02 |