NPI | 1518323724 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER FRU AKUFONGWE CEO 240-498-1461 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: VA 2464) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2016-01-05 |