| NPI | 1962250845 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | PASCHA TARMARA COKELY Administrator 336-251-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |