| NPI | 1487959821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN IANUCILLI President 910-944-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4040) |
| Enumeration Date | 2011-01-16 |
| Last Update Date | 2011-01-16 |