| NPI | 1114814399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNETTA BELL Administrator 804-251-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |