| NPI | 1235751702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SMITH Director 910-261-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| 305S00000X Point of Service | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |