| NPI | 1013780600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA INCOOM CEO 301-490-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |