| NPI | 1992719991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN D. TUCKER President 336-368-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-05-24 |