| NPI | 1780185884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOKOE EZUI Executive Director 571-598-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |