| NPI | 1962899161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHONDA SHACKLEFORD Owner/Administrator 704-780-3613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NC HC4747) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-08-04 |