| NPI | 1306686696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA DEBORA ALEXANDER Owner 757-589-1292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2025-04-03 |