| NPI | 1770133910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA JACOBS Clinical Director/Owner 910-734-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2023-01-13 |