| NPI | 1346094224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IKE ONI Director 202-725-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |