| 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 |