| NPI | 1023505054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA KITCHEN Director Of Facility Accounting 410-729-8406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |