| NPI | 1912168568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTA D FULTON Administrator Director 336-230-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NC HC2337) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |