| NPI | 1396565529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAMBO MUSOKOTWANE Manger 443-759-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |