| NPI | 1700594595 |
|---|---|
| Former Legal Business Name | L&G MOME HEALTH CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | SHEKITA YOLANDA LAWRENCE Owner 757-381-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |