| NPI | 1497563340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKITA ALLEN Administrator 757-214-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2026-05-28 |