| NPI | 1396053336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA PEREYRA Supervisor 571-332-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA 372600000X) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-11-24 |