| NPI | 1023740172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE MCDANIEL Director 301-651-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-07-13 |