| NPI | 1942058680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIA BROWN Administrator 757-792-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |