| NPI | 1912549031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE E AMBROSE President 910-734-5204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2020-01-14 |