| NPI | 1093308256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATARSHA SHATA CREEKMORE-MELTON CEO 757-324-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-08-05 |