| NPI | 1265241962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MELITTA THOMPSON Administrator 757-777-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-06-04 |