| NPI | 1801825690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. KOWALCZYK Regional Controller 410-910-1730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CO 04I157) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-12-10 |