| NPI | 1568101772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACRYSHA EDMUNDSON Owner 252-363-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-06-04 |
| Last Update Date | 2022-06-04 |