| NPI | 1164856522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN K. REYNOLDS Manager 410-513-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 744) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-06-09 |