| NPI | 1659191807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SOULE' CEO 540-413-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251E00000X Home Health |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |