| NPI | 1255372686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BUCZKOWSKI CFO 804-627-5573 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: KY 150098) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: KY 150098) |
| 261QR0400X Clinic/Center Rehabilitation (Licence: KY 150098) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-05-20 |