| NPI | 1215898150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE A ADESANYA Administrator 240-918-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |