| NPI | 1366284846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOISAU KISSES MORLU Own/Administrator 571-238-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 376K00000X Nurse's Aide | |
| 385HR2050X Respite Care Respite Care Camp | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-26 |