| NPI | 1154966646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOSEDE M ADELEYE Provider 301-512-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-11-07 |