| NPI | 1639132673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S KOWALCZYK Regional Controller 410-910-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NM IT3204) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |