| NPI | 1255267761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAMIKA POOLE Owner 704-780-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 172A00000X Driver |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| 374700000X Technician | |
| 376G00000X Nursing Home Administrator | |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |