| NPI | 1043961659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASHAD W LILLY Administrator 757-706-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |