| NPI | 1144674953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA CHANEE BYRD Owner/President 704-930-9438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4011) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2019-04-23 |