| NPI | 1588156855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAQONA LAKEYTA PAYNE Administrator 757-582-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-1862) |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |