| NPI | 1770864290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENITA RENEA COLSON Founder/President 704-399-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC 194810) |
| Additional Taxonomies | 251S00000X (Licence: NC 194810) |
| 251E00000X Home Health (Licence: NC 194810) | |
| 251B00000X Case Management (Licence: NC 194810) | |
| 251J00000X Nursing Care (Licence: NC 194810) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NC 194810) | |
| 163WA2000X Registered Nurse, Administrator (Licence: NC 194810) | |
| 163WC1500X Registered Nurse, Community Health (Licence: NC 194810) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NC 194810) | |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: NC 194810) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |