NPI | 1336853001 |
---|---|
Entity Type | Organization |
Authorized Contact | KA'DEEM RIDDICK Owner 757-809-1409 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
385H00000X Respite Care | |
Enumeration Date | 2023-01-09 |
Last Update Date | 2024-02-16 |