| NPI | 1508364894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONZELL OWENS Manager 336-210-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |