| NPI | 1275144248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE JACOBSON President/CEO 443-703-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |