| NPI | 1912754359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYONGHO KO Administrator 703-403-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-11-08 |