| NPI | 1598411159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HAIRSTON Owner 336-202-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-05-18 |