| NPI | 1487225397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN DOREKO PAUL SMITH Agency Director 252-548-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |