| NPI | 1548631310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULA KHADIJATU SECKA Administrator 240-645-7642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2371-01-001) |
| Additional Taxonomies | 251F00000X Home Infusion (Licence: VA 2371-01-001) |
| 251J00000X Nursing Care (Licence: VA 2371-01-001) | |
| 251S00000X Community/Behavioral Health (Licence: VA 2371-01-001) | |
| 253Z00000X In Home Supportive Care (Licence: VA 2371-01-001) | |
| 314000000X Skilled Nursing Facility (Licence: VA 2371-01-001) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: VA 2371-01-001) | |
| 251C00000X (Licence: VA 2371-01-001) | |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |