| NPI | 1407164361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MONTRESS STALLWORTH President 910-242-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4169) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |