| NPI | 1073355624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN MIREE Owner 757-793-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-09-11 |