| NPI | 1740048263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLORISSE PETTAWAY CEO 804-481-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251J00000X Nursing Care | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-10-05 |