| NPI | 1750168860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOVER CHARLES Owner 434-829-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2023-09-19 |