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 |