| NPI | 1598890055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELL SIKES Owner 910-642-5655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NC HC2814) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC2814) |
| 311Z00000X Custodial Care Facility (Licence: NC HC2814) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |