| NPI | 1972940518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MANG Managing Partner 919-815-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC HC4597) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NC HC4597) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |