| NPI | 1639568686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYLA PHETVISAY President 704-957-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC3990) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |