| NPI | 1447099932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI MUTOMBO Owner 571-529-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 314000000X Skilled Nursing Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372500000X Chore Provider | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2025-01-17 |