| NPI | 1497154330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI WILSON OWENS Member 434-799-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA S5189933) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: VA S5189933) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-09-30 |