| NPI | 1154058592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SECORIA WILSON Administrator 757-386-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-07-22 |