| NPI | 1396399531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ARCHIBONG JACK CEO/Administrator 919-633-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 104100000X Social Worker |
| 106H00000X Marriage & Family Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 283X00000X Rehabilitation Hospital | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-03-06 |