| NPI | 1912302688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERSIRA SHINDOH Hha 202-520-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: DC 10975) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |