| NPI | 1609163138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE KOTEE Member 704-262-6914 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |