| NPI | 1376367441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE THOMPSOON Director 804-243-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |