| NPI | 1801344361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE SPELLMAN Administrator 757-232-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2018-03-15 |