| NPI | 1982321956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN CHUKWUDI ACHILIKE Director 336-549-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |