| NPI | 1578935607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN D JORDAN Service Facilitator 757-201-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 0443787070) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |