| NPI | 1174270060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESEAN CORNELIUS Administrator 704-967-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-11 |