| 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 |