NPI | 1457038515 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE KANESSA NICOLE STEWART Owner 704-713-7997 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2023-06-30 |
Last Update Date | 2025-08-29 |