| NPI | 1568178788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA DAMONE FAIRLEY Agency Director/Owner 980-237-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |