| NPI | 1982246831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONDEA LASHARAE SWAGGARD Owner 704-910-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-12-11 |