| NPI | 1518778182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIBERATUS MWANGOMBE Director 240-423-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |