| NPI | 1053071639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE FITZGERALD THAXTON Owner 434-203-9097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 171W00000X Contractor | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2024-05-15 |