| NPI | 1740925270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS MCCASLIN Owner / President / Administrator 757-240-6386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-09-19 |