| NPI | 1407529795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHA LEWIS Owner 704-207-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2021-08-02 |