| NPI | 1013797174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY KING Director Of Business Services 301-270-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |