| NPI | 1154903623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOIQUINA MCKOY CEO 336-541-8046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2026-05-27 |