| NPI | 1710940515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S KOWALCZYK Regional Controller 410-910-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 100000500) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2021-12-13 |