| NPI | 1952665515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MOORE President 757-292-5783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2012-06-29 |