| NPI | 1265195945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CUSHNIE Owner 757-937-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-03-01 |