| NPI | 1215818679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARON R LUCKETT Owner/Administrator 757-796-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| 253Z00000X In Home Supportive Care | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |