| NPI | 1518570860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L WALLACE Administrator 757-453-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-12-10 |