| NPI | 1609394949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SCOTT Owner 757-502-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-1731) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA HCO-1731) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-21 |