| NPI | 1376292615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FETICA GRANDY Co Owner 336-776-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |