| NPI | 1285425629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAMILLIAH STATON Owner 919-605-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |