| NPI | 1104062967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA LASHON CHISHOLM Member 704-395-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4110) |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747P1801X Technician, Personal Care Attendant (Licence: NC HC4110) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-10-30 |