| NPI | 1437793940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA VERONICA ODUENYI Administrator 301-523-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QH0100X Clinic/Center Health Service | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |