| NPI | 1508119173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK STCLAIR President 703-530-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO13539) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-12-30 |