| NPI | 1144767039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MANGA Owner 202-413-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |