| NPI | 1952125304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMARIE DAIQUAN BOGGS Owner 757-761-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2025-09-26 |