| NPI | 1376225722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINE AIKHU Head Of Operations 757-338-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251E00000X Home Health | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251F00000X Home Infusion | |
| 310400000X Assisted Living Facility | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |