| NPI | 1407440936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA VINES Registered Nurse 540-613-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care |
| 163WG0000X Registered Nurse, General Practice | |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 163WW0000X Registered Nurse, Wound Care | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |