| NPI | 1487838975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY C PALMS Owner 910-485-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC FCL026044) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |