| NPI | 1295278364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE ROSEBORO Clinical Nurse Specialist 704-473-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: NC 185443) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC 185443) |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 364SA2200X Clinical Nurse Specialist Adult Health | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-01-03 |