| NPI | 1588418834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUEITA Q MORNING Nurse Practitioner 252-916-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |