| NPI | 1578094579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL FITZGERALD Owner 804-491-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 177F00000X Lodging |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: VA t67507941) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-11-20 |