| NPI | 1609684992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYEISHA KING O Wner 757-309-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |