| NPI | 1275990004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANY GRAY Administrator 336-710-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4188) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: NC HC4188) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |