| NPI | 1689970345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOECILYN LAVADA WALLACE President/Agency Director 704-824-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4292) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |