| NPI | 1699127639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE CRATCH Administrator 252-208-8479 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC FCL054072) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NC FCL054072) |
| 251K00000X Public Health or Welfare (Licence: NC FCL054072) | |
| 253J00000X Foster Care Agency (Licence: NC FCL054072) | |
| 292200000X Dental Laboratory (Licence: NC FCL054072) | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness (Licence: NC FCL054072) | |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NC FCL054072) | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NC FCL054072) | |
| 335G00000X Medical Foods Supplier (Licence: NC FCL054072) | |
| 385HR2050X Respite Care Respite Care Camp (Licence: NC FCL054072) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |