| NPI | 1376383208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN RENE SIMON President 804-896-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 372600000X Adult Companion | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |