NPI | 1932206380 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID KOWALCZYK Regional Controller 410-910-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: WI IS-373) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-06-15 |