| NPI | 1043237845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY D. MATHENA Owner 434-836-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 0002046838) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA 0001121009) |
| 251E00000X Home Health (Licence: VA 0001141653) | |
| 251E00000X Home Health (Licence: VA 2305002760) | |
| 251E00000X Home Health (Licence: VA 2305002761) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-04-19 |