NPI | 1225343395 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHNATHAUN LEE President 910-230-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC2965) |
Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: NC HC2965) |
Enumeration Date | 2010-08-13 |
Last Update Date | 2013-06-14 |