| NPI | 1780198960 |
|---|---|
| Doing Business As | GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | ROSELINE O NWADIGO Owner /Administrator 984-200-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC FCL-092234) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |