| NPI | 1063729283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISSA HARRISTON Owner 410-402-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD R128308) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MD R128308) |
| 251F00000X Home Infusion (Licence: MD R128308) | |
| 251J00000X Nursing Care (Licence: MD R128308) | |
| 251S00000X Community/Behavioral Health (Licence: MD R128308) | |
| 251T00000X PACE Provider Organization (Licence: MD R128308) | |
| 251V00000X Voluntary or Charitable (Licence: MD R128308) | |
| 253Z00000X In Home Supportive Care (Licence: MD R128308) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |