| NPI | 1184297459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALIK R BURTON CEO & Administrator 804-662-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |