| NPI | 1396106191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ADAMS Manager 757-998-0635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA T1019) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA T1005) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |