| NPI | 1588827976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA MONIQUE DAVIS Operations Manager 757-754-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 0002072366) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |