NPI | 1861780009 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRELL KENYATTA TENNIE Administrator 919-217-0933 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2011-07-20 |
Last Update Date | 2023-08-25 |