| NPI | 1366962276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GREEN Administrator/Owner 757-922-7051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-05-17 |