| NPI | 1477080224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA DANIELLE FRAZIER Administrator 757-778-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: VA 037878-2017) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |