| NPI | 1548494966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMMIE C. JOHNSON Administrator 910-276-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NC MHL-032-053) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2017-01-09 |