| NPI | 1215649942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI N. COVIL Owner 757-346-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-28 |