| NPI | 1558974436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERITA M SMITH Owner 757-401-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-10-27 |