| NPI | 1073741914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE L ASHLEY Speech Language Pathologist 410-749-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 05510) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |