NPI | 1417254285 |
---|---|
Entity Type | Organization |
Authorized Contact | KARON JEANNE SHIELDS Administrator 757-224-9944 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care (Licence: VA HCO-11669) |
Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-11669) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2011-02-14 |