| NPI | 1154903862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDOU R CHAM Owner 910-723-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |