| NPI | 1104920487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOWALCZYK Controller 410-910-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA Exempt) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA EXEMPT) |
| 163WC2100X Registered Nurse, Continence Care (Licence: VA EXEMPT) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: VA EXEMPT) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-04-04 |