| NPI | 1487718540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LOCKLEAR Director 910-521-1895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-078-138) |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health (Licence: NC HC4768) | |
| 251J00000X Nursing Care | |
| 251S00000X (Licence: NC MHL-078-304) | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care (Licence: NC HC4768) | |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC MHL-078-275) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NC MHL-078-138) | |
| 385H00000X Respite Care (Licence: NC MHL-078-138) | |
| 385H00000X Respite Care (Licence: NC MHL-078-275) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-08-15 |