| NPI | 1770820326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ROBERT WILLIS Manager/Owner 336-558-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 264880) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |