| NPI | 1245848795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ABDILLAHI Administrator 571-577-5957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |