| NPI | 1427889674 |
|---|---|
| Doing Business As | 315 S JUPITER ROAD |
| Entity Type | Organization |
| Authorized Contact | VINCENTIA A MARSHALL Administrator 703-814-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |