| NPI | 1518565159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LE'KEISHA MONIQUE RODRIGUEZ Chief Executive Officer 757-719-2835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-16 |