| NPI | 1700031077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS VIRGINIA JACKSON Private Duty 804-274-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: VA 1401054180) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA 1401054180) |
| 251J00000X Nursing Care (Licence: VA 1401054180) | |
| Enumeration Date | 2008-11-29 |
| Last Update Date | 2009-04-28 |