| NPI | 1841473105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIONETTE O COLE Vice President & Executive Director 704-405-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 302F00000X Exclusive Provider Organization | |
| 251E00000X Home Health | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-11 |