| NPI | 1912531823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QEUNNA DONTE SMITH Owner/Don/Fnp 757-271-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251F00000X Home Infusion | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2023-09-06 |