| NPI | 1740948025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA A WHITE Administrator 251-264-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 282E00000X | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |