| NPI | 1275922171 |
|---|---|
| Former Legal Business Name | DONNA'S HOME HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DONNA WALL Owner 704-231-6935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |