| NPI | 1780415885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SHERELLE QUEEN Pmhnp 443-703-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-08-10 |