| NPI | 1881390359 |
|---|---|
| Doing Business As | EAST END VILLAGE II |
| Entity Type | Organization |
| Authorized Contact | GINA WINDER MELVIN Executive Director 910-705-7469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-12-13 |