| NPI | 1073740916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RALPH COO 800-434-4686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 03288) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-11-01 |