| NPI | 1750411187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN BELOV Director 704-522-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-11-20 |