| NPI | 1194531384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVON CHASE Administrator 571-239-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2026-04-09 |