NPI | 1548502990 |
---|---|
Entity Type | Organization |
Authorized Contact | JABRIL OMAR Director 571-344-0754 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-14979) |
Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: VA HCO-14979) |
385H00000X Respite Care (Licence: VA HCO-14979) | |
Enumeration Date | 2013-03-25 |
Last Update Date | 2013-07-30 |