| NPI | 1275326126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN GARDNER Owner 301-928-4725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-23 |