| NPI | 1497986822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROSHELL SIMMONS Administrator 276-694-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-10590) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-10590) |
| 385H00000X Respite Care (Licence: VA HCO-10590) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2010-02-02 |