| NPI | 1912408238 |
|---|---|
| Doing Business As | LAKE NORMAN HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | PATRICK TODD LYLES Sr. VP Of Administration 502-891-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |