| NPI | 1679064323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEP PHAM President 704-995-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 385H00000X Respite Care |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |