| NPI | 1952547614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESA ANN JACOBS Clinical Director 910-734-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2008-12-31 |