| NPI | 1114015179 |
|---|---|
| Doing Business As | SKILLED NURSING FAC. |
| Entity Type | Organization |
| Authorized Contact | SHARON SCHULZ Director 410-402-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |