| NPI | 1316513328 |
|---|---|
| Other Name | HIS MISSION HOME CARELLC |
| Other Name | HIS MISSION HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | CORINA M JOHNSON Owner 336-561-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |