| NPI | 1013473545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREYDANUS Authorized Signatory 410-962-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |