| NPI | 1104313055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUN EDMONDS Owner/Administrator 757-938-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-01-06 |