| NPI | 1881073377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DURBIN Chief Quality Officer 901-410-9058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NC MHL-011-323) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NC MHL-011-323) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |