| NPI | 1841799731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA GRAY Program Administrator 757-744-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |