| NPI | 1649816935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYAD FUZAIL AHMAD RIZVI President 571-225-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2023-04-07 |