| NPI | 1851435036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND ALLEN STATON Administrator 252-206-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NC HC1584) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |