| NPI | 1942727805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLABODE GABRIEL LONGE Administrator 443-226-3289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist, Home Health (Licence: MD R4058) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |