| NPI | 1114465556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMMIE BERNITA JOHNSON CEO 910-276-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC2475) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |