| NPI | 1134630882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUELSON PAPSO SESAY Administrator/Manager 703-256-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO-1768) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-1768) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2017-10-21 |