| NPI | 1821852989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY WIGGINS Director 336-314-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-09-20 |