| NPI | 1528889540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUENESSE KATRINA EDWARDS Owner 757-376-6204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-11-14 |