| NPI | 1225495633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELKANAH FAUX Director 571-213-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: DC 100216000004) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |