| NPI | 1972251767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHONESHIA WELLS Administrator 434-429-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-24 |