NPI | 1992018352 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL CORMELIUS MAYO Qp/Co Owner 252-281-7717 |
Organization Subpart ? | No |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC MHL064115) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: NC MHL064115) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2010-07-14 |