| NPI | 1376821330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESERIE ANTIONETTE WHITEHEAD Owner 757-202-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 130750-0000-8080) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |