| NPI | 1043640360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MULUEMBET FISSEHA Administrator 703-862-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-14982) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2015-09-08 |