| NPI | 1194103028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA DIANA BAILEY-WHIGHAM Owner 757-390-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA S5562972) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |