| NPI | 1215690862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZADA KEITH Director/Owner 910-777-9402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2024-03-12 |