| NPI | 1043068778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WILSON Owner 757-761-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-06-09 |