| NPI | 1366718066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHAVON HANES Operations Manager 336-227-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |