| NPI | 1154966737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTONIO RUCKER Owner 828-774-7959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-02-26 |