NPI | 1255002713 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGARET YOUNG CHANG Physician/Owner 240-606-5301 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 282E00000X |
Enumeration Date | 2021-09-24 |
Last Update Date | 2024-01-30 |