| NPI | 1770154353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TANDONGFUET Administrator 301-806-3159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |