| NPI | 1023608650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHLHEM MAMO BEDADA Administrator 202-717-3579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |