| NPI | 1609142876 |
|---|---|
| Former Legal Business Name | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | ADA F WARREN ROOTS Owner 804-714-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA W12055000) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2012-04-01 |