| NPI | 1265439004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW NEISWANGER Administrator Owner 301-864-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 02002) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-10-23 |