| NPI | 1235862111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANITA MCCORKLE Assisted Living Manager 443-525-1229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |