| NPI | 1245044973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE YVETTE SIMMONS Director 980-348-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-11 |