| NPI | 1356783070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAHRA M. MOHAMED Intake Coordinator 571-229-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-17979) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: VA HCO-17979) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2016-09-27 |