| NPI | 1013630060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY FORNAH Administrator 571-320-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |