| NPI | 1417396292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYTON TERRELL RENDELL President 757-671-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO00983) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: VA HCO00983) |
| 251S00000X Community/Behavioral Health (Licence: VA HCO00983) | |
| 385H00000X Respite Care (Licence: VA HCO00983) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |