| NPI | 1104101682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA A GROSS GREEN President 757-295-8931 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X (Licence: VA 460-03-001) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: VA 460-03-001) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2012-01-10 |