| NPI | 1134683881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN GROGAN ELLIS Executive Director 336-817-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |