| NPI | 1487118808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SHAW Administrator 252-539-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-06-04 |