| NPI | 1104718139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GIBSON Administrator 240-604-6293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |