| NPI | 1154078731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN N IDUMA Administrator 703-278-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251J00000X Nursing Care |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |