| NPI | 1083997035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH HICKS Owner (Caretaking) 540-354-7967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 11L1922 61H1922) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |