| NPI | 1659819175 |
|---|---|
| Doing Business As | LLC |
| Entity Type | Organization |
| Authorized Contact | TABITHA SHIRREL NELSON CEO 757-359-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-171625) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-04-25 |