| NPI | 1467231688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKENA TAYLOR- PANNELL Owner 757-635-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |