| NPI | 1235786104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER C MADUBUKO Administrator/Owner 240-334-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WX1500X Registered Nurse Ostomy Care |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 251J00000X Nursing Care | |
| 163WH0200X Registered Nurse Home Health | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2024-10-29 |