| NPI | 1871293225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA WHITE Administrator 251-264-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |