| NPI | 1679288807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY O AYODELE Program Manager 336-471-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |