| NPI | 1457188666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKINAH DAVIS Owner 910-787-7143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |