| NPI | 1104942473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY RAY TRIMARCHI Owner Administrator 804-343-1649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: VA 992561150640) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |