| NPI | 1205368388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GINA PANGLE Director 703-291-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305S00000X Point of Service |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |