| NPI | 1104361872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ROTICH Administrator 540-429-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-171561) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA MC1600186PS) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |