| NPI | 1477782159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALEACCA RESHAUN VAUGHAN Administrator 252-332-5920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC2949) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |