NPI | 1295028710 |
---|---|
Entity Type | Organization |
Authorized Contact | OCTAVIA DEVONNE SHANKLE Owner/Director 980-207-3947 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: NC HC3994) |
Enumeration Date | 2011-05-17 |
Last Update Date | 2019-08-01 |