| NPI | 1013617851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-CHRISTOPHE NOUKELAK Administrator 301-979-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251T00000X PACE Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |