| NPI | 1467105122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE D RIVERS Owner 301-710-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| 261QR1300X Clinic/Center Rural Health | |
| 335G00000X Medical Foods Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |