| NPI | 1073809125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA MONIQUE BROWN CEO 757-724-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 1276-02-006) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA HCO-16850) |
| 251E00000X Home Health (Licence: VA HCO-16850) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2015-09-18 |