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 |