| NPI | 1427936160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA BLACK Administrator 757-277-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-11-06 |