| NPI | 1457428633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ELAINE WILCOX Administrator 704-876-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01255) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC2565) |
| 251J00000X Nursing Care (Licence: NC HC2565) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-02-26 |