| NPI | 1992457782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULAIMON SANUSI Owner 704-606-3698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 251E00000X Home Health | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2022-01-22 |
| Last Update Date | 2022-05-08 |