| NPI | 1356693766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL C OKUGO Manager 704-606-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4568) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |