| NPI | 1730311127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE RENAULT PHILSON Administrator/Owner 252-520-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC3768) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |