| NPI | 1376058891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELENE MCCOY VINSON Opertations Manager 757-397-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: VA HCO-181604) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-10-22 |