| NPI | 1669194296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KOHLER CEO 540-519-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |