| NPI | 1548733371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNOCENT UBAK Administrator 240-701-3882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-07-29 |