| NPI | 1255125159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERIA MIZELL Owner 757-615-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-22 |