NPI | 1689713703 |
---|---|
Former Legal Business Name | COMMUNITY DIRECT SERVICES |
Entity Type | Organization |
Authorized Contact | CARY L LOMAX CEO 757-965-4899 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 59303011) |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
3747P1801X Technician, Personal Care Attendant (Licence: VA 0103305642) | |
385H00000X Respite Care (Licence: VA 59303011) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2018-07-09 |