| NPI | 1871913145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA MARABLE CARSON Owner/Administrator 704-458-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 011-R-1239) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |