| NPI | 1124607981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA WALL Owner 704-420-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-12 |