| NPI | 1750109815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POWEI MUMBOH Administrator 202-297-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2025-08-08 |