| NPI | 1003582453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENA FOREMAN Owner 757-343-7822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-04-19 |