| NPI | 1609207844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ELLERBE Owner 704-200-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2016-08-24 |