| NPI | 1770309122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA ZADRAN Administrator 202-495-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |