| NPI | 1881105377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYLAH PETERS Office Manager 571-213-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 1743) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2023-10-23 |