| NPI | 1225457898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI B. BRADY Administrator 336-953-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC MHL076-001) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC MHL076-007) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2015-07-29 |