| NPI | 1548843402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERISE COVINGTON Owner 757-937-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-04-29 |