| NPI | 1578176954 |
|---|---|
| Former Legal Business Name | LOMHHC |
| Entity Type | Organization |
| Authorized Contact | ANGELA KNIGHT MIZELL Administrator 757-922-8078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |