| NPI | 1992201156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY HOUZE CEO 703-659-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 302F00000X Exclusive Provider Organization | |
| 251S00000X | |
| 251X00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2020-12-08 |