| NPI | 1356030662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA COUSAR Assistant Administrator 757-264-1381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |