NPI | 1104010198 |
---|---|
Entity Type | Organization |
Authorized Contact | GINNY C. CARLYLE Nurse Manager/Delegating Nurse 410-621-0431 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 19AL0008) |
Enumeration Date | 2007-09-01 |
Last Update Date | 2007-09-01 |