| NPI | 1205317443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENERIA D SHEPHERD Owner 336-448-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-08-26 |
| Last Update Date | 2025-08-01 |