| NPI | 1699230789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA NEVELS Owner/President 336-430-6592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 376K00000X Nurse's Aide | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-08-09 |