| NPI | 1588145163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRIC LEE Owner 804-787-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA H18667014) |
| Additional Taxonomies | 251E00000X Home Health |
| 3747P1801X Technician Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-10-28 |