| NPI | 1104321330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE ADU-GYAMFI Administrator 240-234-7931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-03-27 |