| NPI | 1689738312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT C IHEANACHO President 336-988-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC3594) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NC MH-041-783) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-09-20 |