| NPI | 1013364512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENA GLOVER Owner 757-419-3941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |