NPI | 1649827296 |
---|---|
Entity Type | Organization |
Authorized Contact | FANTA DORLEY CFO 336-662-7284 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 251C00000X |
261QM1300X Clinic/Center, Multi-Specialty | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
251B00000X Case Management | |
174200000X Meals | |
Enumeration Date | 2019-08-19 |
Last Update Date | 2019-08-19 |