| NPI | 1124078878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI BOONE Administrator 757-569-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO308PC) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC4189) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-03-19 |