| NPI | 1144747155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN LONGO President 757-303-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO-171607) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |