| NPI | 1255621785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY YVONNE WHITLEY Speech Pathologist 410-908-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MD 235Z00000X) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |