| NPI | 1639190226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIDAN D. MCGHEE Director 540-291-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-07-14 |