| NPI | 1295244762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN RAWLINGS CEO 757-592-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 2763-08-011) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2020-01-04 |