| NPI | 1528603172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE CLARK Owner/Administrator 336-866-9248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-02-27 |