| NPI | 1376029645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMI OLASIMBO Director 410-521-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD BH000962) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-06-19 |