| NPI | 1821633934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JACKSON Agency Director 704-957-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |