| NPI | 1972167302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS TORRENCE Secretary 704-762-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 103K00000X Behavior Analyst | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 305S00000X Point of Service | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |