| NPI | 1104225507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUANITA HENDERSON Office Manager 980-365-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4744) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2015-03-20 |