| NPI | 1275910754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GAYLE LOCKLEAR CEO 910-316-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4521) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC HC4521) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-06-05 |