| NPI | 1154844231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE A JOHNSON Owner 540-257-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 164W00000X Licensed Practical Nurse | |
| 164X00000X Licensed Vocational Nurse | |
| 225X00000X Occupational Therapist | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-07-21 |