| NPI | 1922653047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA MAMBO Administrator 804-270-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-09-26 |