| NPI | 1710554324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL MICHELLE CHAVIS Administrator 910-347-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-12-21 |