| NPI | 1447500459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIDO CAROL KENGNE Home Health Aid 301-219-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD k-525-793-004-062) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |