| NPI | 1225075674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY JERNIGAN SPIVEY Business Mgr./ Co Owner 910-640-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 3408208) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC2950) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-09-12 |