| NPI | 1841962008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA ANN WHITE Administrator 251-264-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 314000000X Skilled Nursing Facility | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2022-03-14 |