| NPI | 1265046387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MERIDA Assisted Living Manager 443-983-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |