| NPI | 1265145049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTHEL WATSON President 704-490-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-01-01 |