| NPI | 1992949705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA VERSHELLE STIMPSON CEO 336-314-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2021-12-07 |