| NPI | 1467913822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID DARLETTE FRASER Administrator 757-937-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-11-20 |