| NPI | 1205293313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARRIKA A BURNETT Owner/Provider 980-219-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |