| NPI | 1144868258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISATU FORNAH-JAMBAI President/CEO/Administrator 301-640-6229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2022-04-21 |