| 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 |