| NPI | 1194483479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA ANN WHITE Administrator 251-264-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 314000000X Skilled Nursing Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332U00000X Home Delivered Meals | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |