| 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 |