| NPI | 1578157624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHON DIONTE WILKERSON Director 336-470-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |