| NPI | 1215307103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALPANA GOTTIPATI President 910-652-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 282E00000X Long Term Care Hospital | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |