| NPI | 1598815045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LYNN LOCKLEAR Administrator 910-522-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC3566) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |