| NPI | 1205309945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA TORRENCE Incorporator 336-617-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |