| NPI | 1699550632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO LAJUAN BRADLEY Owner 804-503-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |