| NPI | 1861490161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBER Z WALTERS Executive Director 704-834-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC0906) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |