| NPI | 1629935945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDELIS ATABONG Board Member 910-237-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2026-01-08 |
| Last Update Date | 2026-01-08 |