| NPI | 1861151524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA ANN WHITE Administrator 251-264-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 314000000X Skilled Nursing Facility | |
| 332U00000X Home Delivered Meals | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |