| NPI | 1962220541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE FIELDS CEO 757-240-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |