| NPI | 1851034847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEONDRA BANNERMAN Administrator/Owner 910-379-5707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2025-03-07 |