| NPI | 1700468451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LANE Administrator 540-316-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 164W00000X Licensed Practical Nurse | |
| 163W00000X Registered Nurse | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |