| NPI | 1306173844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THELMA R JOHNSON Owner/Director 252-747-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4281) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2023-11-01 |