| NPI | 1902001209 |
|---|---|
| Doing Business As | CROASDAILE VILLAGE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN P ERICKSON Assistant Secretary 919-384-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC1307) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2018-09-17 |