| NPI | 1033654280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI RUTH AGWUNA Owner/President 410-772-9463 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: DE 2016603303) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-10-10 |