| NPI | 1811462930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KESHA LEAK Owner 704-232-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 372600000X Adult Companion | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2025-11-26 |