| NPI | 1952740631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ADEGBOYEGA Administrator 301-538-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD Rs3419) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |