| NPI | 1396284956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHALY L MOSES Director 757-770-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA 2444) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |