| NPI | 1306830559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L. WILSON Administrator 276-628-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 0000364000402) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2012-02-27 |