| NPI | 1194700773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRBY NICKERSON CFO 704-754-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2022-07-21 |