| NPI | 1124495619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERVONNE EVETTE BANKS Gerontologist 757-240-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO161171) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |