| NPI | 1518147081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBRINA PORTER President 757-295-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: VA 460-03-001) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA 0001179754) |
| 251S00000X Community/Behavioral Health (Licence: VA 460-03-001) | |
| 385H00000X Respite Care (Licence: VA 0001179754) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2011-10-14 |