| NPI | 1982028213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILOMINA SIMPSON Administrator 703-967-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 141101) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: VA 141101) |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: VA 141101) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |