| NPI | 1508584632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMASENE HARDEN HERRERA Owner/Administrator 757-692-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |