| NPI | 1861883860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKY CHARLES CEO/Owner 757-673-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-171264) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA 41999) |
| 251E00000X Home Health (Licence: VA 151264) | |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-08-10 |