| NPI | 1164722237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG SHIN LEE Administrator 703-628-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-11695) |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion (Licence: VA HCO-11695) | |
| 251J00000X Nursing Care (Licence: VA HCO-11695) | |
| Enumeration Date | 2010-10-23 |
| Last Update Date | 2019-08-28 |