| NPI | 1225273626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN LERON EDMONDS President 757-971-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305202617) |
| 171WH0202X Contractor, Home Modifications | |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2011-03-04 |