| NPI | 1942763123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA LEA Owner/CEO 336-987-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 314000000X Skilled Nursing Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-04-13 |