| NPI | 1851123681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARRANCE HAYES CEO 757-660-5786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |