| NPI | 1912580440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNDE MBAYO Administrator 571-249-5819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2024-11-04 |