| NPI | 1811148471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L WILSON Administrator 276-628-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: VA 251G00000X) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |