| NPI | 1689028490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALITHEA SMALLS CEO/Administrator 757-768-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |