| NPI | 1215561725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUS YAO AGBAM Residential Director 302-690-7071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |