| NPI | 1639512262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARVELLE JACKSON Administrator Assistant 757-397-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-13950) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2013-08-13 |