| NPI | 1124646328 |
|---|---|
| Other Name | COMPLETE WELL-CARE SOURCE LLC |
| Entity Type | Organization |
| Authorized Contact | MYRA VAUGHTERS WILSON CEO 336-682-8968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-02-14 |