| NPI | 1881204352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONNAH UPCHURCH Owner 571-662-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 163WH0200X Registered Nurse, Home Health | |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |