| NPI | 1013116086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA LATRICE YOUNG Podiatrist 301-741-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 01445) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2009-08-10 |