| NPI | 1124433453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMARK MOHAMUD ISMAIL Alt Administrator 703-865-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-14594) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-11-15 |