| NPI | 1124600143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATINA WILLIAMS Assistant Director 336-303-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-09-27 |