NPI | 1205239688 |
---|---|
Doing Business As | EDENWALD |
Entity Type | Organization |
Authorized Contact | ROLAND DEVASHER V.P. Of Finance & Administration 410-339-6013 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MD 03AL618-H) |
Enumeration Date | 2014-09-30 |
Last Update Date | 2023-10-18 |