| NPI | 1962699322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE COMFORT Owner 804-503-7015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-01-11 |