| NPI | 1104249556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUFOR NFORTOH Nurse Administrator 301-202-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD R3447) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MD R3447) |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MD R3447) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |