| NPI | 1982956926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN O SMITH CEO 704-496-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 347C00000X Private Vehicle | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 332U00000X Home Delivered Meals | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2014-11-21 |