| NPI | 1669227039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNEESHA LANISE GABLE Owner 336-943-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |