| NPI | 1093105140 |
|---|---|
| Doing Business As | GOOD OLD DAYS - AT HOME CARE |
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN ANITA TAYLOR Administrator 804-723-1374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO-171518) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2018-04-25 |