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 |