| NPI | 1558600171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FATEMAH FENNELL Intensive In Home Lead Therapist 980-729-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC P007168) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |