| NPI | 1164574604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN A SMITH Nursing Home Administrator 410-828-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 03-022) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |