| NPI | 1780492108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUA DICKENS Owner 757-416-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251J00000X Nursing Care | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-01-31 |