| NPI | 1104812064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE E. TART Administration 910-892-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: NC HOS0375) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |