| NPI | 1174085633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAPHET MUTANGA Administrator 240-606-0242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |