| NPI | 1568515351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WHITE Program Director 336-538-8632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC HC1745) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC1745) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |