| NPI | 1396234134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE GRAY Administrator 757-344-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-1840) |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker | |
| 385H00000X Respite Care (Licence: VA HCO-1840) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |