| NPI | 1043756638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LAVERNE LANGLEY Owner 301-659-0917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2020-02-03 |