| NPI | 1316570252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEZZARAYI POWELL Office Manager 910-736-6816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 305S00000X Point of Service |
| 251E00000X Home Health | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2024-02-15 |