| NPI | 1376073999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY AFCHA Admin 571-408-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-03-09 |