| NPI | 1619543626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA SADE BANKS Owner 757-375-1483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |