| NPI | 1790706935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GUY KESTENBAUM Cmo 703-957-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: DC 54192XXXX-65000704) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2022-11-15 |