| NPI | 1841429164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LATIMER Manager 252-258-5176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-07-21 |