| NPI | 1952024523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA PEACOCK Miss 301-257-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |