| NPI | 1881002822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN WILSON Owner/Administrator 757-632-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: VA hco-141137) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |