| NPI | 1134982424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANGKO EMMANUEL TANGKO Owner 240-595-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |