| NPI | 1215239215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRA DAVENPORT Supervisor 336-286-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4221) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |