| NPI | 1033850268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKIA BIVENS Owner/Administrator 571-574-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2023-01-31 |