| NPI | 1649572082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PATRICK FUNDERBURK Owner 704-712-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4230) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2013-05-07 |