| NPI | 1982454518 |
|---|---|
| Former Legal Business Name | 22-JUNE-2023 |
| Entity Type | Organization |
| Authorized Contact | DAPHNE AMARA Administrator 757-401-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |