NPI | 1033906896 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANTELL LIPSCOMB KINCHEN CEO/Registered Nurse 804-994-8680 |
Organization Subpart ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251E00000X Home Health |
251S00000X Community/Behavioral Health | |
347C00000X Private Vehicle | |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-04-23 |