| NPI | 1487302436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DADREA HARDEN FERGUSON Administrator 757-809-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |