| NPI | 1326934696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITILAYO B SHAKIRU Program Administrator 240-486-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2025-06-14 |
| Last Update Date | 2025-06-14 |