| NPI | 1851709570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARSEAL POWELL Member Manager 240-418-7423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD R182162) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MD R182162) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2020-03-20 |