| NPI | 1922283605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERI CLEARWATER President/CEO 703-200-1298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 2705135905) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: VA 2705135905) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-01-02 |