| NPI | 1710690888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUN EDMONDS Administrator 757-938-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251X00000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |