| NPI | 1619394327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA TANNER Director/Qp 336-286-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MHL-041-995) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |