| NPI | 1134873979 |
|---|---|
| Doing Business As | PRIME STOP |
| Entity Type | Organization |
| Authorized Contact | ELKANAH TSCHONG MUKOI CEO 240-463-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |