| NPI | 1164191508 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | LINSLEY NYACK Owner/Manager 301-580-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |