| NPI | 1376006130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMMY MACK Director 910-364-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |