| NPI | 1073989836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BARTEE Service Facilitator 434-414-6253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |