| NPI | 1649806720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RAY COOPER President 757-991-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 282J00000X Religious Nonmedical Health Care Institution |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 347E00000X Transportation Broker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |