| NPI | 1760900195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WIMBERLY President/CEO 571-931-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO18614) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA HCO18614) |
| 164W00000X Licensed Practical Nurse (Licence: VA HCO18614) | |
| 251J00000X Nursing Care (Licence: VA HCO18614) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA HCO18614) | |
| 314000000X Skilled Nursing Facility (Licence: VA HCO18614) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO18614) | |
| 385H00000X Respite Care (Licence: VA HCO18614) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |