| NPI | 1124535893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA T CARSON Managing Member 336-682-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |