| NPI | 1083498992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE WATTS Assisted Living Manager/Owner 443-629-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |