| NPI | 1174578389 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | KOU LILA SUMWABE Adfministrator 540-628-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2009-06-24 |