| NPI | 1952638157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CURTIS JENKINS President, Owner 336-548-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC4176) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2010-09-20 |