| NPI | 1104941103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE SOUTHERN Owner Agency Director 252-436-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC2972) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |