| NPI | 1861180242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKISHA DOGGETT Owner 757-714-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2024-05-29 |