NPI | 1114649225 |
---|---|
Doing Business As | THE NAME OF MY AGENCY |
Entity Type | Organization |
Authorized Contact | JENEBA MANSARAY Administrator 571-351-3093 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2022-09-15 |
Last Update Date | 2022-09-15 |