| NPI | 1285965780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDA GRACE PARKER CEO 252-281-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174400000X Specialist |
| 252Y00000X Early Intervention Provider Agency | |
| 302F00000X Exclusive Provider Organization | |
| 305S00000X Point of Service | |
| 251S00000X | |
| 333300000X Emergency Response System Companies | |
| 305R00000X Preferred Provider Organization | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-03-26 |