| NPI | 1194590745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOREEN VIVIAN SMITH Cna R, Cma 336-254-5118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |