| NPI | 1801963087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ELAINE WILCOX Administrator 704-876-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC1991) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2021-11-01 |