| NPI | 1578353496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE ELLEN BRAHAM Adminstrator 757-618-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-08-07 |