| NPI | 1689832156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELA MITCHELL Speech Language Pathologist 757-481-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: VA 2306602139) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |