| NPI | 1083877195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE G ABOAGYE Administrator/Director Of Nursing 301-674-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |