| NPI | 1114924115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L MARTIN President Owner 410-239-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 06-006) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2007-11-14 |