| NPI | 1861164527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHATERA EASON Lpn 757-327-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-11-29 |