| NPI | 1609437656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJUAN ANDREA BURNS Owner 202-802-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 302R00000X Health Maintenance Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |