| NPI | 1902363286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLEHYA THOMAS Owner 910-527-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |