| NPI | 1649817677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKITA SHERISE MUMPHERY Director 704-999-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 347C00000X Private Vehicle | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2021-02-18 |