| NPI | 1982459590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DISHAUNA MATTHEWS Finace Manager 757-577-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2025-10-16 |