| NPI | 1508464710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MATHIS Owner 919-637-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 291U00000X Clinical Medical Laboratory | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2023-10-12 |