| NPI | 1437705514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA WILLOUGHBY Administrator 804-896-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-07-15 |