| NPI | 1962635821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLISHIA TAYLOR Administrator 703-319-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: VA 491561) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-09-04 |