| NPI | 1518627413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA CHANITA-LATRICE JOHNSON Human Resources Coordinator 704-755-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |