| NPI | 1902047293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA COLEY Controller 910-362-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC1336) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC1336) |
| 251J00000X Nursing Care (Licence: NC HC1336) | |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2015-05-07 |