| NPI | 1093011728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNIEL JACKSON Administrator 540-318-8035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WH1000X Registered Nurse, Hospice | |
| 164W00000X Licensed Practical Nurse | |
| 251F00000X Home Infusion | |
| 251E00000X Home Health | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2014-09-18 |