| NPI | 1336962786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA BANKS-COOPER Manager 757-284-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2025-03-25 |