| NPI | 1760792568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOMODOU JAITEH Owner 919-601-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC4250) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 136624) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2019-09-11 |