| NPI | 1508610767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY SOUTHERLAND President 910-565-2857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |