| NPI | 1972152908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA JACKSON Owner 757-696-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 364SH0200X Clinical Nurse Specialist, Home Health |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-03-30 |