| NPI | 1952855348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUNGNAPA O'BRIEN Administrator 571-353-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2018-08-09 |