| NPI | 1871043117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYIAH PETERKIN Asst Administrator 757-717-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-171517) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |