| NPI | 1760854715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY SHALLUA Director 336-283-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NC HC2369) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: NC HC2369) |
| 253Z00000X In Home Supportive Care (Licence: NC HC2369) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |