| NPI | 1215511514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY C VAUGHN Executive Director 571-368-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2025-08-15 |