| NPI | 1780032367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEVELLE MONIQUE PEGRAM Administrator 804-730-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-161455) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |