| NPI | 1770856460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KALBAUGH Credentialing Specialist 336-878-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA to be issued) |
| Enumeration Date | 2012-02-11 |
| Last Update Date | 2020-03-13 |