| NPI | 1730069642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBELE T IZUEGBUNAM Program Manager 757-738-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |