| NPI | 1164653168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN JOHNSON Owner 910-987-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |