| NPI | 1598909368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVARIS LAKEISHA NELSON Owner/Director 704-299-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 169239) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |