| NPI | 1245565779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS NCHOTAKU FORKA CEO 240-353-9096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |