| NPI | 1972082147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN TINGLE Director 704-963-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |