| NPI | 1477693810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGENIA LYNELLE GILLIAM Owner 252-321-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC2818) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC3608) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-01-19 |