| NPI | 1801340252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M JACKSON Director Of Operations 336-313-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4848) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC4848) |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2017-01-23 |