| NPI | 1205880663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA L STOUT VP Finance 443-444-3841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 30051) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-10-09 |