| NPI | 1629937529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA TREMAINE BANTOM Owner Operator 252-327-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2026-01-17 |
| Last Update Date | 2026-02-06 |