| NPI | 1689338790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KEYONDA DENNIS Director 301-364-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |