NPI | 1093782468 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP J GORDON Nursing Home Administrator 410-721-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 02-011) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2012-08-14 |