| NPI | 1548975337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE CHEEKS President 336-655-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-05-23 |