| NPI | 1447762109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA OWENS Administrator 757-485-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VA HCO1749) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA HCO1749) |
| 372600000X Adult Companion (Licence: VA HCO1749) | |
| 374U00000X Home Health Aide (Licence: VA HCO1749) | |
| 376K00000X Nurse's Aide (Licence: VA HCO1749) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |