NPI | 1215201363 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE PATRICIA BRYANT Administrator 877-489-1538 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care (Licence: VA HCO12707) |
Additional Taxonomies | 251B00000X Case Management (Licence: VA HCO12707) |
251S00000X Community/Behavioral Health (Licence: VA HCO12707) | |
253Z00000X In Home Supportive Care (Licence: VA HCO12707) | |
Enumeration Date | 2012-03-06 |
Last Update Date | 2012-03-06 |