| NPI | 1821440033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL LEVONNE LEWIS Supervised Living 252-917-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC MHL074249) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |