| NPI | 1003667247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY KOBIALKA Owner 757-272-8765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |