| NPI | 1972263606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FALTZ CEO 757-295-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| 251E00000X Home Health | |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-11-04 |