| NPI | 1093933947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ROGERS Executive Director 301-774-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 305S00000X Point of Service (Licence: MD 16279) |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-02-02 |