| NPI | 1164735817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMESH GUNDU Accounts Manager 301-317-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-09-23 |