| NPI | 1801110648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONCHELLE SHERRI HICKS Owner 804-263-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |