| NPI | 1609603687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA BULLOCK-BLOUNT CEO 252-347-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |