| NPI | 1205108545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN LINDENGREN President 410-744-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: MD 03AL625-F) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |