| NPI | 1124712971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA AGADA Manager 919-585-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |