| 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 |