NPI | 1134453814 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN THOMAS REDD CEO 804-359-0613 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: VA 492-05-001) |
Additional Taxonomies | 251C00000X (Licence: VA 492-03-003) |
251C00000X (Licence: VA 492-05-001) | |
251E00000X Home Health (Licence: VA 492-03-003) | |
251S00000X Community/Behavioral Health (Licence: VA 492-03-003) | |
Enumeration Date | 2009-09-28 |
Last Update Date | 2011-01-11 |