| NPI | 1093528697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNIELLE VONDERLINDEN Owner 571-418-8670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2086S0129X |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |