NPI | 1528449055 |
---|---|
Doing Business As | MYPOTENTIAL AT HOME |
Entity Type | Organization |
Authorized Contact | MICHAEL JOSEPH BRADY Chief Financial Officer 301-354-2714 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-151094) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2015-06-10 |