| NPI | 1841920303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGWOBIA C IDIKA Administrator 202-702-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2023-01-16 |