| NPI | 1285405415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KION WILLIAMS Administrator 757-927-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-07-09 |