| NPI | 1356651962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNA PADILLA MAYNIGO Administrator 757-686-2418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-11691) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |