| NPI | 1366317778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIAWATHA J POWELL GRIGGS Manager 571-888-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |