| NPI | 1528103934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA ANNETTE TAYLOR Executive Director 704-605-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NC 3140N1450X) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-06-09 |