| NPI | 1871839332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOCKSLEY LISA MCFADDEN Adminstrator 910-988-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4613) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC HC4613) |
| 171W00000X Contractor (Licence: NC HC4613) | |
| 225XM0800X Occupational Therapist, Mental Health (Licence: NC HC4613) | |
| 251E00000X Home Health (Licence: NC HC4613) | |
| 251G00000X Hospice Care, Community Based | |
| 253J00000X Foster Care Agency (Licence: NC HC4613) | |
| 282NR1301X General Acute Care Hospital, Rural (Licence: NC HC4613) | |
| 302R00000X Health Maintenance Organization (Licence: NC HC4613) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC HC4613) | |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2022-09-27 |