| NPI | 1386713303 |
|---|---|
| Other Name | CARE ADVANTAGE SOUTHSIDE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH J JOHNSTON Owner 804-323-9464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-07122) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |