| 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 |