| NPI | 1790390938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIANA JOHNSON Administrator 757-410-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 385H00000X Respite Care | |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |