| NPI | 1619205234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIVINIA KELLAM HAIRSTON Owner And Operator 276-340-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA 0001134098) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2013-12-11 |