| NPI | 1043953888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN IFEOMA UDOMA Administrator 443-790-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-05-10 |