| NPI | 1477058899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA CAMPBELL Administrator 336-255-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: SC IHCP-0819) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2019-03-06 |