| NPI | 1790105575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG THEW YANG Personnel 704-900-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |