| NPI | 1003310129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MENSAH Administrator 301-850-1918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: MD R4079) |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WI0500X Registered Nurse Infusion Therapy | |
| 163WW0000X Registered Nurse Wound Care | |
| 224ZE0001X Occupational Therapy Assistant Environmental Modification | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care (Licence: MD R4079) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-03-16 |