| NPI | 1770727869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME BOUILLON Managing Member 828-412-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2019-05-30 |