| NPI | 1043814502 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | ABAYINESH ALEMU Assisted Living Manager 240-476-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |