| NPI | 1750780078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BRADLEY CEO 757-352-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA 147407-0000-7200) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |