| NPI | 1104170679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA LEA MCCAULEY-WITTL Operations Coordinator 540-400-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2019-12-11 |