| NPI | 1285016824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA ANTOINETTE FONVILLE Director 704-213-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4362) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2018-03-17 |