| NPI | 1568146900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YETUNDE SHETEOLU SHETEOLU Administrator 240-584-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |