| NPI | 1114069606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MCMILLAN Owner 910-735-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC HC3281) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC3281) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-09-05 |