NPI | 1396121398 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK K BATTLE CEO 704-200-9924 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 385H00000X Respite Care |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
251S00000X | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2016-08-25 |