| NPI | 1124471057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE E MCDANIEL Manager 301-651-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 234216) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 163WH0200X Registered Nurse Home Health | |
| 376J00000X Homemaker | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-11-09 |