| NPI | 1962097741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DOMINGUEZ CORTEZ Administrator 703-537-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |