| NPI | 1548097207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ARIEL HERNANDEZ Owner/CEO 704-837-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |