| NPI | 1881206589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL J BAKER Owner 757-917-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 253Z00000X In Home Supportive Care | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2026-02-24 |