| NPI | 1306990197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMASINA SMITH LANEY Administrator 704-347-4767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC HC1855) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NC HC1855) |
| 164W00000X Licensed Practical Nurse (Licence: NC HC1855) | |
| 376K00000X Nurse's Aide (Licence: NC HC1855) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |