| NPI | 1114633484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEWANDE AWOYEMI Administrator 703-312-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| 251E00000X Home Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-02-07 |