| NPI | 1912270653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHE ROGERS Member 757-971-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care (Licence: VA HCO-151198) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2014-09-10 |