| NPI | 1104501287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAW OH GAY Owner 336-944-3247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-05-28 |