| NPI | 1346433463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY STRADER Accounts Receivables 757-565-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-0864) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-09-20 |