| NPI | 1356961718 |
|---|---|
| Former Legal Business Name | MY PCA GREENVILLES HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HOLLEY Owner/Governing Body 252-558-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-04-25 |
| Last Update Date | 2020-04-25 |