| NPI | 1700656121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA HODGE Operations Manager 804-712-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |