| NPI | 1497613889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA MBUTAMBE Administrator 202-367-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3747A0650X Technician, Attendant Care Provider | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-03-18 |