| NPI | 1205976628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORI J DAVIS Director 910-277-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WC1600X Registered Nurse Continuing Education/Staff Development | |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2010-06-04 |