| NPI | 1790299337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOUADIO KRA KOKO Administrator 703-843-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: VA HCO-181328) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: VA HCO-181328) |
| 385H00000X Respite Care (Licence: VA HCO-181328) | |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2018-06-16 |