| NPI | 1952733487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA BULLARD Director/Owner 910-735-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC1961) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: NC HC1961) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC HC1961) | |
| 385H00000X Respite Care (Licence: NC HC1961) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: NC HC1961) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC HC1961) | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2014-08-13 |