| NPI | 1215000104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MISHONDA BLUE Agency Director 910-299-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 6601535) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |