| NPI | 1679981278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD FOORD Owner/President 757-291-6016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA HCO-14809) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-14809) |
| Enumeration Date | 2014-07-27 |
| Last Update Date | 2014-07-27 |