| NPI | 1215276779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SIPES Program Manager 301-432-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD A01518) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |