| NPI | 1700668605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVON A VICK Owner/CEO 919-892-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |