| NPI | 1891112504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA TANNER Director/Qp 336-314-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC MHL-041-975) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |