| NPI | 1770713703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET ELIZABETH O'LEARY Owner 757-427-3052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |