| NPI | 1134462583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTA LENESE HARRELL Owner/Administrator 252-642-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC FCL-046-025) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |