| NPI | 1205228871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MARQURITE BELFON Onwer 202-390-2106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |