| NPI | 1649354101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE MASSEY Director 910-640-6602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NC HC0755) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC HC0755) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-01-10 |