| NPI | 1992178370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CARBAJAL Administrator 703-801-1784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO161325) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |