NPI | 1932434693 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA EZE Owner 301-213-9925 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MD R2770R) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22494) |
225X00000X Occupational Therapist | |
302R00000X Health Maintenance Organization (Licence: MD R2770R) | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MD R2770R) | |
Enumeration Date | 2009-10-13 |
Last Update Date | 2020-01-23 |