| NPI | 1720181217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KOWALCZYK Licensure Coordinator 410-910-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WA IS-104) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |