| NPI | 1417241928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETRON LONNEIL BURCH Agency Director 704-942-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4372) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-06-10 |