| NPI | 1235686007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID O ETUTE Pres/CEO 757-819-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0001120196) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |