| NPI | 1639415094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L JOHNSON Home Health Aide 202-538-4693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: DC 29664105) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |