| NPI | 1174995476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAWIA BAKRI MOHAMED Owner/Administrator 540-207-9284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO161298) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-05-25 |