| NPI | 1275971095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICCOYA JACKSON Owner/Manager 757-606-3170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO141040) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2014-07-24 |