| NPI | 1801030390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMA OMAR HUSSEIN Administrator 571-338-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA HCO-09564) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |