| NPI | 1649606450 |
|---|---|
| Other Name | BUMPASS LANE |
| Entity Type | Organization |
| Authorized Contact | DAVID W FORSYTHE Executive Director 336-599-9421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |