| NPI | 1912629817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWZIA HOSH Administrator 703-472-6552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2024-11-15 |