| NPI | 1699142604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNETHIA M THOMAS Owner 980-621-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC3950) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC HC4828) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2016-03-17 |