| NPI | 1609418789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTAISA WARD RN 252-565-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2024-07-27 |