Individual provider · Type 1 NPI

Moniesha Avita Javon Bullock

In Home Supportive Care Agency · Henrico, VA

NPI number 1003465402 Active

Practice location

508 Little Margaret Ln
Henrico, VA 23075-1647

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed

In Home Supportive Care Agency: An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medicatio…

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About NPI 1003465402

Moniesha Avita Javon Bullock's National Provider Identifier is 1003465402, issued on Sep 9, 2019. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in Henrico, VA. The record was last updated on Sep 9, 2019.