| NPI | 1982063384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MENA Credentialind Specialist 704-939-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NC 233781) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |