| NPI | 1245734847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIVEN MWALE Administrator 571-354-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO-1813) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-04-05 |