| NPI | 1194151282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA BROUSSARD CEO 804-901-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA 1595-05-001) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |