| NPI | 1598582876 |
|---|---|
| Former Legal Business Name | WANDA PATRICK |
| Entity Type | Organization |
| Authorized Contact | WANDA PATRICK Owner 252-902-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |