| NPI | 1770018871 |
|---|---|
| Former Legal Business Name | POTTER'S HOUSE IN ME CARE |
| Entity Type | Organization |
| Authorized Contact | MELRENA DENSIE MCINNIS Presdient 704-890-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC IHCP-0610) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |