| NPI | 1972946820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARREY K ETCHIBANYI Administrator 301-982-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD Y510229115582) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MD Y510229115582) |
| 302F00000X Exclusive Provider Organization (Licence: MD Y510229115582) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |