| NPI | 1063710812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MBIDE Manager 301-875-7359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MD R172967) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: DC RN1009120) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |