| NPI | 1013612639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS HARDMON Ownwe 443-414-9884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |