| NPI | 1215121256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY L DAVIS Administrator 919-755-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: NC HC1823) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: NC HC1823) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-07-16 |