| NPI | 1275790487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARNALICE MEKUE NOUMBA CEO 301-576-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: DC 1410) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |