| NPI | 1376948257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIAZIZ OMAR HUSSEIN Owner 571-277-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HC0151223) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-08-25 |