NPI | 1538914882 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVYN LONG CEO 336-471-0196 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251E00000X Home Health |
251J00000X Nursing Care | |
251S00000X Community/Behavioral Health | |
261QA0600X Clinic/Center, Adult Day Care | |
261QH0700X Clinic/Center, Hearing and Speech | |
261QP2000X Clinic/Center, Physical Therapy | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
385H00000X Respite Care | |
Enumeration Date | 2024-04-19 |
Last Update Date | 2025-03-28 |